• Implementation of Hospital Management information Systems on service delivery at Moi Teaching and Referral Hospital

  Cheruiyot, B; Muiruri, L; Njuguna, R. S (Cheruiyot, B., Muiruri, L. & Njuguna, R. S. (2019). Implementation of Hospital Management information Systems on service delivery at Moi Teaching and Referral Hospital.World Journal of Medical Education and Research: Volume 20, Issue 1, 2019)

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  Abstract:

  Hospital Management Information Systems (HMIS) has the potential to improve the quality of services delivered, as well as the efficiency and effectiveness of healthcare providers through the integration of various hospital functional units. However, the benefits of this implementation in service delivery have not been adequately addressed. This study sought to appraise the impact of the implementation of HMIS, on service delivery in Moi Teaching and Referral Hospital, (MTRH). The objectives of the study were: to examine the level of implementation of HMIS in MTRH; to establish the strategies motivating implementation and utilisation of HMIS, to assess the benefits that have been realized in utilizing Hospital Management Information Systems, and to assess the effect of HMIS on service delivery in MTRH. Cross sectional descriptive research design was utilised in the study; the sample size formula proposed by Cooper and Schildler formula was used to obtain 240 respondents from a target population of 587 users of HMIS. A structured closed-ended questionnaire and interviews were administered. Quantitative data was obtained, coded using SPSS v.21. Data was analysed using descriptive statistics, i.e. mean and standard deviations and inferential statistics i.e. Pearson Correlation Analysis and Multiple Regression Analysis. Of the 240 questionnaires distributed, 192 were filled and returned, with most respondents familiar with HMIS. The respondents moderately agreed that the implementation of HMIS was done well and as per expectations. The Hospital Records module had the highest implementation level, while Consulting Doctor module scored the lowest. On the level of utilisation of HMIS, the result indicate that the mean values were above average on a five point Likert scale. The Further Records module had the highest implementation level, with the majority agreeing that the module had been adequately utilised. Conversely, the Consulting Doctor module posted the lowest utilisation level. On the strategies motivating the utilisation of HMIS results indicate that the strategy of allaying perceptions and fears among staff on the use of HMIS is the one mostly deployed by the hospital in order to improve the level of Utilisation of HMIS. Results indicated that the anticipated benefits of HMIS were all above average. The results of the regression analysis suggested that HMIS implementation (β=.215, p˂0.05), HMIS Utilisation (β= ..697, p˂0.05), motivation strategy (β= .193, p˂0.05), and HMIS benefits (β= .045, p˂0.05) had a positive significant effect on service delivery. Therefore, the null hypothesis is rejected. The value of the F-statistic is (F=172.917, p˂0.05) is robust. The coefficient of determination value of R2= .787 means that 78.7% of the variation in service delivery at the hospital can be explained by HMIS. The study recommends that a policy be drafted to entrench HMIS implementation and utilisation in the country.

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• Role of Mobile Applications in Mitigating Challenges Faced by Informal Saving Groups

  Wambua, Anthony; Wamuyu, Patrick Kanyi (IST-Africa 2020 Conference Proceedings, 2020)

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  Abstract:	Existing literature shows that even though governments in developing countries have continued in their efforts with reforms and other actions to expand financial access and inclusion among citizens, a segment of the population remains excluded. This comprises of low income and middle-class people who end up relying on informal saving groups for their financial needs. Despite their prevalence and importance, the informal saving groups such as Rotating Saving and Credit Associations (ROSCAs) and Accumulating Savings and Credit Association (ASCAs) continue to face a myriad of challenges with many of them collapsing. The aim of this study is to explore the usage of mobile apps to overcome the challenges faced by the ROSCAs and ASCAs. Agile software methodology was used to develop a robust mobile application for use by informal saving groups. Adoption of mobile apps technologies is important to the informal financial sector and the formal financial sector that is linked to these informal saving groups such as banks and microfinance institutions. The study reveals that the use of mobile apps was a plausible solution to the challenges experienced by the members of the informal savings groups while handling monetary transactions.
  Description:	Conferencing Proceedings
  URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3761

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• Assessment of target costing technique as a profit driver and cost management tool. A study of steel firms operating in Nairobi, Kenya

  Ihugo, Francis N. (Daystar University, School of Business and Economics, May , 2014)

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  Abstract:	The purpose of this research study was to assess target costing as a profit driver and cost management tool for steel firms operating in Nairobi. Guided by three objectives, the study aimed to establish organizational challenges in the target costing implementation, to assess the effect of Target costing as a cost management tool and also to assess the contribution of target costing in profit growth. Key finding of this research study which had a completion rate of (87.5%) indicated that (73.8%) of the respondents use target costing technique as a cost management tool and all adopters have implemented it for more than 5 years. Team and cross functional barriers emerged as the most outstanding organization challenge to implementation caused by mandatory cost cutting which results to finger pointing in various departments. Lack of appropriate skills and training necessary to tackle emerging costing techniques were rated as the overall departmental challenges. As a cost planning tool, the research findings noted that Target costing identifies costs associated with a product with an aim of making very informed choices on options available. Providing firms with a rapid response mechanism to a product cost without compromising on the quality and having an all-inclusive cost management approach was identified as a way of effective cost management. Respondents across the steel industry reported significant increase in profit levels a trend they attributed to successful implementation. From the research findings, the researcher recommends that the Topic of target costing be made broader with inclusion of the same in text books and other publications from high school level and relevant training and skills be afforded to top level managers. The researcher further recommends that the Government should urgently invest in Steel industry in order to subsidize the cost steel products.
  Description:	Master of Business Administration in Finance
  URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3760

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• Assessment on the Use of Monitoring and Evaluation System in Constituency Development Fund, Nairobi County

  Matetai, Monicah (Daystar University, School of Arts and Humanities, June , 2015)

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  Abstract:	The purpose of this study was to assess the use of monitoring and evaluation system for Constituency Development Fund in Nairobi County. The unit of analysis was the Constituency Development Fund (CDF) in Nairobi County. The study used a descriptive survey research design. The target population comprised 187 committee members of the 17 constituencies. The sample size for this study was55 obtained using simple random sampling. The researcher used a questionnaire to obtain primary data. The questionnaires were self-administered. Quantitative data was analysed using descriptive and inferential statistics and presented in percentages and frequencies. Qualitative data was analysed using content analysis and presented in prose form. Both quantitative and qualitative data was compiled to generate the final project report. The study concluded that: there exists a functional monitoring and evaluation systems in the Constituency Development Fund in the County of Nairobi. Monitoring and evaluation influenced decision making in the Constituency Development Fund in the County of Nairobi. There existed challenges affecting the effectiveness of monitoring and evaluation system for Constituency Development Fund in the County of Nairobi. Funds work plan and costs should be set aside to enhance monitoring and evaluation activities in the Constituency Development Fund in the County of Nairobi. The study recommends that a further research could be conducted on the same topic but in another County so as to give comparisons to the current study. Similarly, a study can be undertaken to assess the existence of monitoring and evaluation activities in the Youth Development Fund, County Government projects, National Government projects and self-help groups around the country.
  Description:	Master of Arts in Monitoring and Evaluation
  URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3759

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• Attitudes and perceptions of internal publics towards the practice of corporate social responsibility: a case of National bank of Kenya

  Muchemi, Leah (Daystar University, School of Communication, April , 2010)

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  Abstract:	The realization by banks that they need to be socially responsible to secure their existence in society is driving them to spend lots of money in trying to reach out to the external publics while giving little consideration for internal publics. This makes the internal publics feel left out and are likely to form unfavourable attitudes and perceptions towards the practice of Corporate Social Responsibility (CSR). This study sought to find out the perceptions and attitudes held by internal publics towards CSR at National Bank of Kenya and to establish the factors that contribute to the attitudes and perceptions. The study utilized the survey method on a sample of 66 middle level employees drawn from six branches of NBK within Nairobi area. Convenience sampling method was used. Data were collected using a questionnaire and interviews. The study was informed by the functionalist theory of attitudes, the systems theory and the stakeholder theory since they were relevant in addressing attitudes and perceptions, internal publics and CSR. The findings revealed various CSR activities that NBK engages in as well as favourable and unfavourable attitudes that the internal publics hold towards CSR. Although most of the employees at NBK do not perceive CSR to be depriving them of possible salary increment, they do not willingly participate in CSR functions. This means that they do not genuinely support the organization in CSR and this is a potential threat to the success of CSR at NBK. The success of any CSR program depends on the cooperation and inclusion of all the concerned publics in order to create an interactive working relationship so as achieve the CSR goals.
  Description:	Master of Arts in Communication
  URI:	http://repository.daystar.ac.ke/xmlui/handle/123456789/3758

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  Attitudes and p ... National bank of Kenya.pdf   (192.4Kb)

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